Grocke D, et al. – Music therapy is an innovative approach to support people with severe mental illness (SMI). The aim of the study was to determine whether group music therapy (GMT) positively impacted on quality of life (QoL), social enrichment, self–esteem, spirituality and psychiatric symptoms of participants with SMI and how they experienced the intervention. Group music therapy may enhance QoL and spirituality of persons with SMI. Methods
The primary outcome was QoL; secondary measures assessed social enrichment, self–esteem, spirituality and psychiatric symptoms.
The 13–week intervention comprised singing familiar songs and composing original songs recorded in a professional studio.
Qualitative data were generated from focus group interviews and song lyric analysis.
Ninety–nine adults (57 female) were recruited, with an initial cohort (n=75) randomized to either: weekly GMT followed by standard care (SC) or SC followed by GMT.
Crossover occurred after 13weeks.
Measures were conducted at baseline, 13, 26 and 39weeks.
A second cohort (n=24) could not be randomized and were assigned to GMT followed by SC.
Intention–to–treat analysis showed a significant difference between GMT and SC on QoL and spirituality.
This was robust to different assumptions about missing data (listwise deletion, last observation carried forward or multiple imputation).
Per–protocol analysis suggested greater benefit for those receiving more sessions.
Focus group interview and song lyric analyses suggested that GMT was enjoyable; self–esteem was enhanced; participants appreciated therapists and peers; and although challenges were experienced, the programme was recommended to others.
Istoric In Romania, in vremea comunismului, pshiatrii au fost incadrati in APR, ramura a celorlalte ramuri medicale.Dupa 1989 APR si-a coninuat prezenta, fiind in continuare condusa de urmasii lui Predescu, Gorgos, Angheluta & co. APR se face vinovat in fata istoriei printr-o selectie mafiotica care a coborit psihiatria romaneasca la un instrument de persecutie a regimului fata deorice aspiratie de innoire,de respingerea a numeroase valori care n-au incaput in breasla si au trebuit sa emigreze sau sa fie marginalizati, perspectiveneavind decit cei hiperadaptati la teroarea raului. Persecutiile fata de psihiatrii si chiar fata de unii bolnavi sunt cunoscute. Text integral